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a
u
S
IT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND:
CHECK THE APPROPRIATE BOX
AVAILABILITY FOR SERVICE WITH THE ARMED FORCES
Requirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must
Physically fit, single, and under 40.
=
For assignment to the Army Nurse Corps, a Red Cross nurse must be-
Physically fit, single OR married, and under 40. If qualified for supervision, anaesthesia,
S
operating room work, or interested in overseas assignment, the age limit is the 45th
birthday.
L
If eligible and not already in service, are you
Immediately available
Available in the near future
0
(specify date)
-
Not available for the following reasons
age 50 years
/°
(specify)
If married, do you have minor dependents?
(specify)
If the Army decides to accept nurses from 40 to 44 years of age (inclusive) for all assignments, would you be
no
no
Immediately available
Available in the near future
(specify date)
Not available for the following reasons
age as above
(specify)
noivina 18.0
AVAILABILITY FOR SERVICE WITH CIVILIANS
TOLAL
If not already doing so, will you
lo
Teach Red Cross Home Nursing classes, if qualified?
Have not the time
Teach Volunteer Nurse's Aides, if qualified?
.
Serve with an overseas unit caring for civilian casualties? no
Be available for emergency Red Cross assignments?
yes
and to SUOY MORT
PHYSICAL CONDITION
Have you been rejected for military service?
Yes
No
Why? Was in the LasX World War.
Do you believe that you could now meet revised physical requirements for military service?
Yes
No
State present physical condition
good as far as I Know.
If any disabilities,
please specify wear eye glasses
Red Cross Badge No. 23972
Dec. 18-42.
(date this form is filled in)
Name
of
committee
tretclestion (to be filled Room in by committee 900 before County questionnaire is Office sent to the nurse) Bldg White llains, my
bed
2
YOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU. THE NATIONAL
EMERGENCY EMPHASIZES THIS FACT MORE THAN EVER. THANK YOU FOR FILLING IN THIS QUESTIONNAIRE
AND RETURNING IT TO US.
I
J
2
Page data
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- Source index
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- Type
- photo
- Media ID
- d2999a4c4bde67b5
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Document data
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- 2661803
- Core
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Document source extras
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Page context
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"ocrText": "a\nu\nS\nIT IS IMPERATIVE THAT YOU READ CAREFULLY THE QUESTIONS BELOW AND:\nCHECK THE APPROPRIATE BOX\nAVAILABILITY FOR SERVICE WITH THE ARMED FORCES\nRequirements: For assignment to the Navy Nurse Corps, a Red Cross nurse must\nPhysically fit, single, and under 40.\n=\nFor assignment to the Army Nurse Corps, a Red Cross nurse must be-\nPhysically fit, single OR married, and under 40. If qualified for supervision, anaesthesia,\nS\noperating room work, or interested in overseas assignment, the age limit is the 45th\nbirthday.\nL\nIf eligible and not already in service, are you\nImmediately available\nAvailable in the near future\n0\n(specify date)\n-\nNot available for the following reasons\nage 50 years\n/°\n(specify)\nIf married, do you have minor dependents?\n(specify)\nIf the Army decides to accept nurses from 40 to 44 years of age (inclusive) for all assignments, would you be\nno\nno\nImmediately available\nAvailable in the near future\n(specify date)\nNot available for the following reasons\nage as above\n(specify)\nnoivina 18.0\nAVAILABILITY FOR SERVICE WITH CIVILIANS\nTOLAL\nIf not already doing so, will you\nlo\nTeach Red Cross Home Nursing classes, if qualified?\nHave not the time\nTeach Volunteer Nurse's Aides, if qualified?\n.\nServe with an overseas unit caring for civilian casualties? no\nBe available for emergency Red Cross assignments?\nyes\nand to SUOY MORT\nPHYSICAL CONDITION\nHave you been rejected for military service?\nYes\nNo\nWhy? Was in the LasX World War.\nDo you believe that you could now meet revised physical requirements for military service?\nYes\nNo\nState present physical condition\ngood as far as I Know.\nIf any disabilities,\nplease specify wear eye glasses\nRed Cross Badge No. 23972\nDec. 18-42.\n(date this form is filled in)\nName\nof\ncommittee\ntretclestion (to be filled Room in by committee 900 before County questionnaire is Office sent to the nurse) Bldg White llains, my\nbed\n2\nYOUR VALUE AS A RED CROSS RESERVE NURSE DEPENDS ON OUR ABILITY TO LOCATE YOU. THE NATIONAL\nEMERGENCY EMPHASIZES THIS FACT MORE THAN EVER. THANK YOU FOR FILLING IN THIS QUESTIONNAIRE\nAND RETURNING IT TO US.\nI\nJ\n2"
}